Name, Address & Phone Number (If Attorney filing, type Name, Address & Phone Number) [ ]Plaintiff, Pro Se [ ] Defendant, Pro Se [ ]Attorney for [ ] Plaintiff [ ] Defendant IN THE FAMILY COURT OF THE SECOND CIRCUIT STATE OF HAWAI`I Plaintiff, ) FC- NO. ) ) DIVORCE DECREE ) (With Children) ) vs. ) Presiding Judge: ) ) Date of Hearing/Review by Judge: ) ) Defendant. ) DIVORCE DECREE (With Children) A hearing was held before the Presiding Judge or an affidavit was submitted. After full consideration of the evidence, the Court finds the material allegations of the Complaint for Divorce to be true. Plaintiff is entitled to a divorce from the bonds of matrimony on the grounds that: [ ] the marriage is irretrievably broken [ ] the parties have lived separate and apart for a period of two (2) years or more. The Court has jurisdiction to enter this Divorce Decree, Plaintiff is referred to as: [ ] Husband [ ] Wife. 1 American LegalNet, Inc. www.FormsWorkFlow.com IT IS HEREBY ORDERED, ADJUDGED AND DECREED that: 1.Decree: A decree of divorce is granted to Plaintiff. The bonds of matrimonybetween Husband and Wife are hereby dissolved. The parties are restored to thestatus of single persons. Either party is permitted to marry after the effective date ofthis Divorce Decree. This Divorce Decree is effective after it is signed and filed bythe Court.2.The parties have child(ren) together. Child(ren)222s Inititals Year of Birth A. Legal custody of the above-named minor child(ren) is: 1.[ ] Awarded to Husband and Wife jointly.2.[ ] Awarded to Wife3.[ ] Awarded to Husband B. Physical custody of the above-named minor child(ren) is: 1.[ ] Awarded jointly to Husband and Wife, with a visitation/time sharingschedule as described in paragraph C below. 2.[ ] Awarded to Wife with a visitation/time sharing schedule as described inparagraph C below. 3.[ ] Awarded to Husband with a visitation/time sharing schedule asdescribed in paragraph C below. 2 American LegalNet, Inc. www.FormsWorkFlow.com C. Visitation/Time Sharing Schedule shall be as follows: 1.[ ] The parties shall arrange reasonable visitation. 2.[ ] Visitation/Time Sharing schedule shall be as follows: 3.[ ] Supervised Visitation/Time Sharing schedule shall be as follows: 3 American LegalNet, Inc. www.FormsWorkFlow.com 3.Child Support (Pursuant to Child Support Guidelines Worksheet attached hereto or previously filed):[ ] A. Beginning with a first payment on the day of (Month/Year) Husband shall pay to Wife for the support of the parties222 child(ren) $ per child, for a total of $ per month. [ ] B. Beginning with a first payment on the day of (Month/Year) Wife shall pay to Husband for the support of the parties222 child(ren) $ per child, for a total of $ per month. [ ] C. Payments of child support shall continue for each child until the child attains the age of eighteen (18) years, or graduates from high school, or discontinue high school, whichever occurs last. [ ] D. Child support shall further continue uninterrupted (including during regular schoolvacation periods) until the age of twenty-three (23) as long as the child(ren) continues his or her education post-high school on a full-time basis at an accredited college or university or in a vocational or trade school. [ ] E. The Child Support Enforcement Agency (CSEA) is made a party for the limited issue of child support. [ ] F. Based on Exceptional Circumstances (Appendix C of the Child Support Guidelines Worksheet signed by both parties, including the statement 223the parties agree that waiver of child support is in the best interest of the child(ren), must be attached/filed) Child support is waived. 4.Method of Child Support Payment (Check A OR B) [ ] A.All payments shall be made payable to and through: Child Support Enforcement Agency (CSEA), P.O. Box 1860, Honolulu, Hawai`i 96805-1860, and pursuant to the Order of Income Withholding which shall be filed with this decree. [ ] B. Direct payment (Supplemental Affidavit Re: Direct Payment for Child Support form must be attached/filed) [ ] Child support payments shall be paid by Husband directly to Wife. [ ] Child support payments shall be paid by Wife directly to Husband. In all direct payment cases, either Husband or Wife may void the direct payment arrangement at any time and apply for services form the CSEA to receive payments through the agency. If the child(ren) of the parties receive public assistance from the Department of Human Services, foster care payments, or Social Security or if either parent applies to the CSEA, CSEA may immediately void a direct payment arrangement by sending notice by regular mail to both parents at their last known addresses as set forth in this decree. 4 American LegalNet, Inc. www.FormsWorkFlow.com 5.Child Health Care: For so long as Husband or Wife has an obligation to pay child support.[ ] A. Husband shall maintain medical and dental insurance for the benefit of the child(ren). [ ] B. Wife shall maintain medical and dental insurance for the benefit of the child(ren). [ ] C. Any additional medical and dental expenses not covered by insurance shall be paid % by Husband and % by Wife. [ ] D. Not applicable 6.Life Insurance for the Benefit of the Child(ren):[ ] A. Husband shall maintain life insurance on his life with a minimum death benefit of$ for the benefit of the child(ren) so long as there is a child support obligation. [ ] B. Wife shall maintain life insurance on his life with a minimum death benefit of $ for the benefit of the child(ren) so long as there is a child support obligation. If Husband or Wife dies without the required insurance, Husband222s or Wife222s estate shall be liable to the child(ren) to the extent that the required insurance was not maintained. Such obligations on the part of Husband222s or Wife222s estate shall be accorded the highest priority. [ ] C. Not applicable. 7.Alimony:[ ] A. Neither party shall be required to pay alimony to the other party.[ ] B. Beginning with a first payment on the day of Month/Year [ ] Husband [ ] Wife shall pay to [ ] Husband [ ] Wife alimony of $ per month, to be paid [ ] in one amount of $ by the day of each month. [ ] in two equal installments of $ by the and day of each month. Alimony shall continue for months and terminate with the payment due (Month/Day/Year). Alimony shall terminate upon the death of either Husband or Wife or upon the recipient222s remarriage. 5 American LegalNet, Inc. www.FormsWorkFlow.com 8.Bank Savings, Checking, Credit Union Accounts and Securities (Stocks, Bonds, Mutual Funds, etc.)[ ] A. There are none.[ ] B. Each is awarded those titled in his/her name alone. [ ] C. Husband is awarded: [ ] D. Wife is awarded: 9.Vehicles (Autos, Trucks, Motorcycles, Campers, Boats, etc.):[ ] A. There are none. [ ] B. Each is awarded the vehicles titled in his/her name alone. [ ] C. Husband is awarded: [ ] D. Wife is awarded: Necessary transfer documents shall be signed no later than ten (10) days following the filing of this Divorce Decree. If either party fails to do so, the Director of Finance of the County of Maui is authorized and directed to transfer the ownership of vehicle(s) if requested to do so. 6 American LegalNet, Inc. www.FormsWorkFlow.com 10.Real Property: [ ] A. Neither party owns any interest of any kind in any real property. [ ] B. The real property shall be divided as follows (identify the addresses): 11.Life Insurance Policy(ies): [ ] A. There are none. [ ] B. Each party is awarded the life insurance policy(ies) held on his/her life, together withany cash value therein and subject to any debt thereon. 12. Retirement Accounts/Benefits:[ ] A. There are none.[ ] B. Each party shall keep their own.[ ] C. The retirement accounts/benefits shall be divided as follows: [ ] D. If a QDRO is required, [ ] Wife [ ] Husband shall be responsible and pay for it and the other party shall not delay in approving it as to form and content. 13.All Other Assets (Personal Belongings, Furniture, Household Effects, Art, Stamps, Coins, Tools,Equipment, Jewelry, Accounts Receivable, Investment Assets, Business Assets, Cemetery Plots or Niches, TaxRefunds Due, etc.) [ ] A. Each party is awarded the personal b